PAID CLAIMS/EXPENSES SUMMARY                                             
                                     Product/Sub Group-8 Digit/Payroll Location                                      

INVOICE NUMBER:     230124585327                                           PAGE:               1 of 5            
BILL ACCOUNT NUMBER:2401631001                                             PAID CLAIMS MONTH:  January 2023      
BILL ACCOUNT NAME:  Utz Quality Foods                                      CLAIMS PAID THRU:   01/20/2023        
CLIENT NUMBER:      240163                                                 BILL CYCLE:         3 of 4            
CLIENT NAME:        Utz Quality Foods                                      PREPARED DATE:      01/24/2023        

               Group                             Paid Claims              Healthcare             Capitation          Value Based                Paid Claims
                                                                          Adjustments                                Reimbursement                /Expenses
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
HDHP PPO
  025620-00
    ACCTS                                            $706.91                    $0.00                 $0.00                  $0.00                  $706.91
      ADM                                            $545.74                    $0.00                 $0.00                  $0.00                  $545.74
    CKPT2                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
    FESPLT                                            $55.36                    $0.00                 $0.00                  $0.00                   $55.36
    GFPLT                                            $329.52                    $0.00                 $0.00                  $0.00                  $329.52
     HAN4                                            $135.51                    $0.00                 $0.00                  $0.00                  $135.51
    INVAZ                                            $232.15                    $0.00                 $0.00                  $0.00                  $232.15
    INVIN                                            $134.95                    $0.00                 $0.00                  $0.00                  $134.95
     MASS                                             $12.36                    $0.00                 $0.00                  $0.00                   $12.36
     MKTG                                            $285.74                    $0.00                 $0.00                  $0.00                  $285.74
     MONT                                              $4.00                    $0.00                 $0.00                  $0.00                    $4.00
     NASH                                            $132.52                    $0.00                 $0.00                  $0.00                  $132.52
     PLT2                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
     PLT3                                          $1,026.30                    $0.00                 $0.00                  $0.00                $1,026.30
     PLT4                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
     PLT5                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
    PLTAD                                            $883.40                    $0.00                 $0.00                  $0.00                  $883.40
    RETAI                                          $6,303.66                    $0.00                 $0.00                  $0.00                $6,303.66
    RWPLT                                         $56,722.39                    $0.00                 $0.00                  $0.00               $56,722.39
    SALES                                          $4,418.31                    $0.00                 $0.00                  $0.00                $4,418.31
    SBPLT                                            $300.90                    $0.00                 $0.00                  $0.00                  $300.90
    SBSLS                                          $9,596.58                    $0.00                 $0.00                  $0.00                $9,596.58
    SBUNB                                           ($12.83)                    $0.00                 $0.00                  $0.00                 ($12.83)
    SLSUP                                          $4,169.89                    $0.00                 $0.00                  $0.00                $4,169.89
    TMPLT                                            $248.40                    $0.00                 $0.00                  $0.00                  $248.40

                                                                                                                                                PAGE:2 of 5
                                                                                                                                                            
               Group                             Paid Claims              Healthcare             Capitation          Value Based                Paid Claims
                                                                          Adjustments                                Reimbursement                /Expenses
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
     ZALA                                              $5.51                    $0.00                 $0.00                  $0.00                    $5.51
  025620-00 Total                                 $86,237.27                    $0.00                 $0.00                  $0.00               $86,237.27
  025620-70
    COBRA                                             $71.20                    $0.00                 $0.00                  $0.00                   $71.20
  025620-70 Total                                     $71.20                    $0.00                 $0.00                  $0.00                   $71.20
HDHP PPO Total                                    $86,308.47                    $0.00                 $0.00                  $0.00               $86,308.47
                                                                                                                                                            
PPO
  025620-01
    ACCTS                                          $8,362.64                    $0.00                 $0.00                  $0.00                $8,362.64
      ADM                                          $9,349.39                    $0.00                 $0.00                  $0.00                $9,349.39
    BFALL                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
     CARR                                             $93.08                    $0.00                 $0.00                  $0.00                   $93.08
     CHES                                             $52.00                    $0.00                 $0.00                  $0.00                   $52.00
    CKPT2                                          $1,731.93                    $0.00                 $0.00                  $0.00                $1,731.93
    CLARK                                         $52,779.62                    $0.00                 $0.00                  $0.00               $52,779.62
    CLEVE                                             $98.29                    $0.00                 $0.00                  $0.00                   $98.29
     DENV                                             $98.92                    $0.00                 $0.00                  $0.00                   $98.92
     FAIR                                            $138.31                    $0.00                 $0.00                  $0.00                  $138.31
    FESPLT                                            $83.05                    $0.00                 $0.00                  $0.00                   $83.05
    FLEET                                             $41.18                    $0.00                 $0.00                  $0.00                   $41.18
    FORPK                                             $22.03                    $0.00                 $0.00                  $0.00                   $22.03
     FRED                                             $90.09                    $0.00                 $0.00                  $0.00                   $90.09
     FREE                                             $79.36                    $0.00                 $0.00                  $0.00                   $79.36
    GFPLT                                            $775.29                    $0.00                 $0.00                  $0.00                  $775.29
    HCOMP                                         $83,005.01                    $0.00                 $0.00                  $0.00               $83,005.01
    HCSLS                                             $35.00                    $0.00                 $0.00                  $0.00                   $35.00
    INRDC                                             $64.06                    $0.00                 $0.00                  $0.00                   $64.06
    INVAZ                                            $271.52                    $0.00                 $0.00                  $0.00                  $271.52
    INVIN                                            $712.83                    $0.00                 $0.00                  $0.00                  $712.83
    JACKS                                            $156.76                    $0.00                 $0.00                  $0.00                  $156.76
    KCSLS                                            $486.68                    $0.00                 $0.00                  $0.00                  $486.68

                                                                                                                                                PAGE:3 of 5
                                                                                                                                                            
               Group                             Paid Claims              Healthcare             Capitation          Value Based                Paid Claims
                                                                          Adjustments                                Reimbursement                /Expenses
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
     KENN                                             $65.74                    $0.00                 $0.00                  $0.00                   $65.74
    KMPLT                                          $1,195.88                    $0.00                 $0.00                  $0.00                $1,195.88
     LAUR                                             $62.84                    $0.00                 $0.00                  $0.00                   $62.84
    MANAS                                             $70.00                    $0.00                 $0.00                  $0.00                   $70.00
     MASS                                            $379.32                    $0.00                 $0.00                  $0.00                  $379.32
     MKTG                                         $53,529.20                    $0.00                 $0.00                  $0.00               $53,529.20
     MOBL                                            $192.20                    $0.00                 $0.00                  $0.00                  $192.20
      NEW                                              $4.00                    $0.00                 $0.00                  $0.00                    $4.00
     PLT1                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
    PLT18                                         $46,486.93                    $0.00                 $0.00                  $0.00               $46,486.93
     PLT2                                          $3,329.32                    $0.00                 $0.00                  $0.00                $3,329.32
     PLT3                                          $1,977.44                    $0.00                 $0.00                  $0.00                $1,977.44
     PLT4                                          $2,053.03                    $0.00                 $0.00                  $0.00                $2,053.03
     PLT5                                       ($14,203.26)                    $0.00                 $0.00                  $0.00             ($14,203.26)
     PLT7                                            $322.64                    $0.00                 $0.00                  $0.00                  $322.64
    PLTAD                                            $186.41                    $0.00                 $0.00                  $0.00                  $186.41
    PTOHD                                         $14,771.73                    $0.00                 $0.00                  $0.00               $14,771.73
     RALE                                              $6.18                    $0.00                 $0.00                  $0.00                    $6.18
    RG039                                            $321.22                    $0.00                 $0.00                  $0.00                  $321.22
     ROAN                                              $5.83                    $0.00                 $0.00                  $0.00                    $5.83
    RWADM                                              $6.18                    $0.00                 $0.00                  $0.00                    $6.18
    RWPLT                                            $272.43                    $0.00                 $0.00                  $0.00                  $272.43
    SALES                                          $2,212.77                    $0.00                 $0.00                  $0.00                $2,212.77
    SBADM                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
    SBPLT                                            $512.43                    $0.00                 $0.00                  $0.00                  $512.43
    SBSLS                                         $17,574.25                    $0.00                 $0.00                  $0.00               $17,574.25
    SBUNB                                            $838.47                    $0.00                 $0.00                  $0.00                  $838.47
    SBUNM                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
    SLSUP                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
    TMPLT                                            $605.98                    $0.00                 $0.00                  $0.00                  $605.98
      W36                                              $6.07                    $0.00                 $0.00                  $0.00                    $6.07
     WALD                                             $82.38                    $0.00                 $0.00                  $0.00                   $82.38

                                                                                                                                                PAGE:4 of 5
                                                                                                                                                            
               Group                             Paid Claims              Healthcare             Capitation          Value Based                Paid Claims
                                                                          Adjustments                                Reimbursement                /Expenses
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
     WORC                                            $246.36                    $0.00                 $0.00                  $0.00                  $246.36
  025620-01 Total                                $291,641.01                    $0.00                 $0.00                  $0.00              $291,641.01
  025620-02
    ACCTS                                         $33,576.89                    $0.00                 $0.00                  $0.00               $33,576.89
      ADM                                         $28,973.11                    $0.00                 $0.00                  $0.00               $28,973.11
     BURL                                          $1,206.84                    $0.00                 $0.00                  $0.00                $1,206.84
    CKPT2                                            $144.32                    $0.00                 $0.00                  $0.00                  $144.32
    FESPLT                                             $1.60                    $0.00                 $0.00                  $0.00                    $1.60
    FLEET                                            $174.39                    $0.00                 $0.00                  $0.00                  $174.39
    GFPLT                                            $139.94                    $0.00                 $0.00                  $0.00                  $139.94
     HAN4                                             $35.70                    $0.00                 $0.00                  $0.00                   $35.70
    HCOMP                                         $10,319.54                    $0.00                 $0.00                  $0.00               $10,319.54
    INRDC                                             $42.88                    $0.00                 $0.00                  $0.00                   $42.88
    INVIN                                         $18,997.48                    $0.00                 $0.00                  $0.00               $18,997.48
    LROCK                                             $47.74                    $0.00                 $0.00                  $0.00                   $47.74
     MKTG                                              $8.00                    $0.00                 $0.00                  $0.00                    $8.00
     MOBL                                             $12.36                    $0.00                 $0.00                  $0.00                   $12.36
     NASH                                             $21.62                    $0.00                 $0.00                  $0.00                   $21.62
     PARK                                            $168.72                    $0.00                 $0.00                  $0.00                  $168.72
     PITT                                            $138.93                    $0.00                 $0.00                  $0.00                  $138.93
     PLT1                                            $635.42                    $0.00                 $0.00                  $0.00                  $635.42
    PLT18                                            $143.40                    $0.00                 $0.00                  $0.00                  $143.40
     PLT2                                            $265.86                    $0.00                 $0.00                  $0.00                  $265.86
     PLT3                                            $685.49                    $0.00                 $0.00                  $0.00                  $685.49
     PLT4                                            $756.21                    $0.00                 $0.00                  $0.00                  $756.21
     PLT5                                            $286.22                    $0.00                 $0.00                  $0.00                  $286.22
     PLT7                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
     PLT9                                              $6.14                    $0.00                 $0.00                  $0.00                    $6.14
    PLTAD                                              $8.00                    $0.00                 $0.00                  $0.00                    $8.00
     PROV                                            $337.38                    $0.00                 $0.00                  $0.00                  $337.38
     RALE                                            $145.85                    $0.00                 $0.00                  $0.00                  $145.85
    RETAI                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00

                                                                                                                                                PAGE:5 of 5
                                                                                                                                                            
               Group                             Paid Claims              Healthcare             Capitation          Value Based                Paid Claims
                                                                          Adjustments                                Reimbursement                /Expenses
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
     ROAN                                             $26.53                    $0.00                 $0.00                  $0.00                   $26.53
    SALES                                            $700.26                    $0.00                 $0.00                  $0.00                  $700.26
    SBSLS                                             $43.50                    $0.00                 $0.00                  $0.00                   $43.50
    SBUNB                                            $276.00                    $0.00                 $0.00                  $0.00                  $276.00
    SBUNM                                            $120.43                    $0.00                 $0.00                  $0.00                  $120.43
    SLSUP                                            $131.60                    $0.00                 $0.00                  $0.00                  $131.60
    TMPLT                                            $820.11                    $0.00                 $0.00                  $0.00                  $820.11
    TMSLS                                              $6.18                    $0.00                 $0.00                  $0.00                    $6.18
     WALD                                            $258.98                    $0.00                 $0.00                  $0.00                  $258.98
    WILSO                                            $118.42                    $0.00                 $0.00                  $0.00                  $118.42
     ZALA                                          $3,669.24                    $0.00                 $0.00                  $0.00                $3,669.24
  025620-02 Total                                $103,451.28                    $0.00                 $0.00                  $0.00              $103,451.28
  025620-71
      ADM                                            $512.79                    $0.00                 $0.00                  $0.00                  $512.79
    COBRA                                             $11.60                    $0.00                 $0.00                  $0.00                   $11.60
  025620-71 Total                                    $524.39                    $0.00                 $0.00                  $0.00                  $524.39
  025620-72
    COBRA                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
  025620-72 Total                                      $0.00                    $0.00                 $0.00                  $0.00                    $0.00
PPO Total                                        $395,616.68                    $0.00                 $0.00                  $0.00              $395,616.68
Paid Claims/Expenses Summary Total                                                                                                              $481,925.15